Individual
MRS. JESSE T GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
911B N CALIFORNIA ST, SOCORRO, NM 87801-4269
(575) 838-1000
(575) 838-2000
Mailing address
911 B N CALIFORNIA ST, SOCORRO, NM 87801
(575) 838-1000
(575) 838-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0831
NM
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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